The document summarizes a midline evaluation of a social protection program in Burkina Faso that provides cash transfers with additional "cash plus" services like nutrition and water/sanitation. Key findings include: 1) The program led to reductions in poverty rates, increased expenditures, improved food security, and higher livestock ownership. 2) The "cash plus nutrition" component showed the largest impacts on nutrition-related outcomes like food security. 3) Preliminary results indicate the program is achieving its objectives of reducing child poverty and vulnerability, though security issues in one region may be impacting full results.

1. Transfer Project Workshop, Nairobi, June 2023
Child Sensitive “Cash plus”
Social Protection Programme in
Burkina Faso

2. Overview
• Introduction
• Programme intervention
• Timeline
• Study design and research questions
• Preliminary results
• Conclusions
for every child, answers

3. for every child, answers
Introduction
The interventions comprises of a combination of cash transfer, nutrition, and water and
sanitation improvement strategies.
The programme aims to reduce child poverty and vulnerability.
In response to high level of multidimensional child poverty, UNICEF Burkina Faso in
collaboration with Government Social Protection Ministry Partner (SP/CNPS), launched a Child
Sensitive Social Protection with funding from SIDA.

4. for every child, answers
Intervention package
Cash transfer
• Households receives FCFA 16,000
per month
• Transfer amount payable every 3
months (FCFA 48,000)
• Payment made through
electronic mobile money transfer
• Transfer value not adjusted for
household size
Cash “plus” services
• Nutrition
• Multi-sectoral nutrition
interventions for estimated
101,000 pregnant women and
123,000 mothers with children
under two years old
• WASH
• 65 water supply points
• Community Led Total Sanitation
(CLTS) programmes
• Menstrual hygiene management
activities for 50 schools in 100
communities

5. for every child, answers
Intervention and study areas
Region Municipality Intervention / Study
status
Intervention package
CENTRE-NORD
ZIMTANGA Control
DARGO Treatment Cash Only
NORD
BASSI Control
KOSSOUKA Treatment Cash + Nutrition
BOUCLE DU
MOUHOUN
SAFANE Control
YE Treatment
Cash + Nutrition +
WASH
EST
MANNI Control
NAMOUNOU Treatment
Cash + Nutrition +
WASH

6. Timeline
for every child, answers
Baseline Data Collection
January – May 2020
Programme Intervention
June 2020
Midline Data Collection
June – July 2021
Endline Data collection
May 2023 - Ongoing

7. for every child, answers
Midline evaluation design and research questions
• The midline IE seeks to provide interim assessment of the
programme, provide feedback for improvement, and assess gender
dimensions.
• The following research questions are answered:
 What are the impacts of the programme on poverty, household expenditure,
food security, and household economic activities?
 What are the impacts of the programme on children material well-being and
schooling?
 Do the programme interventions have the same effects for cash and cash
plus arms?

8. Vulnerability to poverty and impact on poverty rate
for every child, answers
• The economic fallout of COVID-19 started to emerge a driver of vulnerability to
poverty:
“Nothing costs 25 FCFA anymore. We used to pay 2 FCFA for things here, then 5 FCFA,
and today it costs a lot of money, often millions, although we don't have millions. That's
why we suffer.” Male FGD participant, Nord, Kossouka.
• Participants in FGD also underlined how the economic fallout disproportionately
affected women
“The vulnerability in the woman exceeds that of the man, because it is the woman who
puts his children to the world, and she has the obligation to take care of them. On the
other hand, in the man when it makes it abandons you with the children.” Female FGD
participant, Centre-Nord, Dargo.

9. Programme Impacts on Poverty Rate
for every child, answers
-0.22*** -0.15*** -0.08*
-0.40
-0.20
0.00
0.20
0.40
0.60
0.80
1.00
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Headcount poverty rate
Comparison Treatment Impact

10. 29,934***
75,046***
28,101***
18,260* 16,746*
0
20,000
40,000
60,000
80,000
100,000
120,000
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Per capita real annual expenditure, FCFA
Comparison Treatment Impact
Programme Impact on Per Capita Real Annual Expenditure

11. for every child, answers
-2.90*
-8.59***
-1.45** -3.49***
-10.00
-5.00
0.00
5.00
10.00
15.00
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Household Food Insecurity Access Scale
Comparison Treatment Impact
Programme Impacts on Food Security

12. Programme Impacts on Livestock Ownership
for every child, answers
9.08** 9.08*** 10.39*** 9.36**
0.00
20.00
40.00
60.00
80.00
100.00
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Household livestock ownership
Comparison Treatment Impact

13. Programme Impacts on Household Investment in
Agricultural Inputs
for every child, answers
37.17*** 39.55*** 39.63***
29.20**
35.77***
0
20
40
60
80
100
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Household purchased any agricultural inputs in the last 12
months
Comparison Treatment Impact

14. Programme Impacts on Children Material Well-being
for every child, answers
-10.50*
-28.60***
5.3***
-40.00
-30.00
-20.00
-10.00
0.00
10.00
20.00
30.00
40.00
Overall Cash only Cash + nutrition Cash + nutrition +
WASH
All cash "plus"
Child has no shoes/clothes/blanket
Comparison Treatment Impact

15. Programme Impacts on Age of Starting School
for every child, answers
-0.5***
-0.3***
-2.0
0.0
2.0
4.0
6.0
8.0
Overall Cash only Cash + nutrition Cash + nutrition + WASH All cash "plus"
Age of starting school, years
Comparison Treatment Impact

16. CONCLUSIONS 01.
Preliminary results in line with programme objectives.
02.
Cash + Nutrition has largest impact on nutrition related
outcomes.
03.
Cash + Nutrition + WASH is not yielding stronger impacts
than Cash + Nutrition.
04.
Unstable security situation in the East region could be
contributing factor for results observed on Cash +
Nutrition + WASH.

17. THANK YOU
Kaku Attah Damoah
kdamoah@unicef.org